Registration


Welcome to Modern Rhythms Dance Academy! Please complete the following registration form.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Click to Enter an International Number
Contact #1
How Can We Contact You?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
Portal Access (your email is your login)
(Emails are kept confidential)
Contact #2
How can we contact you?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info

Please click on the Search button below, then choose the class or classes you want. We will review your class selection and apply the appropriate discounts where applicable. After you submit your application, you will receive a confirmation email. We will then send you another email shortly after with your balance due to get your child started for the year. You can then go back into your portal and pay by credit card or direct withdrawal from your checking account.

Enroll in Classes
Select Class
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)